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1013428424
RUSSELL LEEDY
SAN FRANCISCO, CA
NPI
1013428424
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2017-10-12
Last Update Date
2017-10-13
Business Address
RUSSELL LEEDY
1801 VICENTE ST
SAN FRANCISCO, CA 94116-2923
Phone number: 415-681-3211
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Mailing Address
RUSSELL LEEDY
1801 VICENTE ST
SAN FRANCISCO, CA 94116-2923
Phone number:
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